RE: out of state donor complications bills

[Guest guest]

Hi All,

The transplant center is financially responsible for all technical services

rendered to a live donor who's recipient is Medicare Entitled. The whole

bill for these services should have been billed to the transplant center;

none of it should have been billed to the Donor's insurance. The " fix "

would be to ask all who have balance billed you to send you the whole bill

and you pay the bill and require that they refund any money they received

for the care. You will want to negotiate as good a set of payment levels as

possible.

As an industry, we need to do a better job of educating the live donors to

call the transplant center first and let the transplant center coordinate

their care.

Hope this helps,

Thanks,

Bill

out of state donor complications bills

Hi All,

I am receiving bills for an out of state donor who had complications

(PE) post donation after flying home. Most bills have billed his

insurance and are now billing our program the remaining amount. Must I

have the complications billed to the recipients insurance?

Appreciate your help.

[Guest guest]

HI Bill,

We haven't had a post donor complication in quite awhile, so I am a bit

confused. Are you defining technical services as the hospital bill and

physician professional charges? Sorry for all these questions!

Appreciate your help.

>>> Vaughan@... 2/8/2006 2:06:43 PM >>>

Hi All,

The transplant center is financially responsible for all technical

services

rendered to a live donor who's recipient is Medicare Entitled. The

whole

bill for these services should have been billed to the transplant

center;

none of it should have been billed to the Donor's insurance. The

" fix "

would be to ask all who have balance billed you to send you the whole

bill

and you pay the bill and require that they refund any money they

received

for the care. You will want to negotiate as good a set of payment

levels as

possible.

As an industry, we need to do a better job of educating the live donors

to

call the transplant center first and let the transplant center

coordinate

their care.

Hope this helps,

Thanks,

Bill

out of state donor complications

bills

Hi All,

I am receiving bills for an out of state donor who had complications

(PE) post donation after flying home. Most bills have billed his

insurance and are now billing our program the remaining amount. Must I

have the complications billed to the recipients insurance?

Appreciate your help.

[Guest guest]

With my understanding, the TC gets billed to the transplant center and

the profees gets billed directly to recipient's Medicare part B

coverage.

Please correct me if I'm wrong.

Thanks-

anne Buccheri wrote:

HI Bill,

We haven't had a post donor complication in quite awhile, so I am a bit

confused. Are you defining technical services as the hospital bill and

physician professional charges? Sorry for all these questions!

Appreciate your help.

Vaughan@... 2/8/2006 2:06:43 PM >>>

Hi All,

The transplant center is financially responsible for all technical

services

rendered to a live donor who's recipient is Medicare Entitled. The

whole

bill for these services should have been billed to the transplant

center;

none of it should have been billed to the Donor's insurance. The

"fix"

would be to ask all who have balance billed you to send you the whole

bill

and you pay the bill and require that they refund any money they

received

for the care. You will want to negotiate as good a set of payment

levels as

possible. As an industry, we need to do a better job of educating the live donors

to

call the transplant center first and let the transplant center

coordinate

their care.

Hope this helps,

Thanks,

Bill

out of state donor complications

bills

Hi All,

I am receiving bills for an out of state donor who had complications

(PE) post donation after flying home. Most bills have billed his

insurance and are now billing our program the remaining amount. Must I

have the complications billed to the recipients insurance?

Appreciate your help.

[Guest guest]

I have asked Bill that in the past, and,

yes, when he says “technical component” he means the facility

charges.

Fred L. Forsthoffer, MBA

Financial Analyst

Banner Good Samaritan Transplant Services

,

, F-

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Sioson

Sent: Wednesday, February 15, 2006

1:47 PM

To:

TxFinancialCoordinators

Subject: Re:

out of state donor complications bills

With my understanding, the TC gets billed to the

transplant center and the profees gets billed directly to recipient's Medicare

part B coverage.

Please correct me if I'm wrong.

Thanks-

anne Buccheri wrote:

HI Bill, We haven't had a post donor complication in quite awhile, so I am a bitconfused. Are you defining technical services as the hospital bill andphysician professional charges? Sorry for all these questions! Appreciate your help.

Vaughan@... 2/8/2006 2:06:43 PM >>>

Hi All,The transplant center is financially responsible for all technicalservicesrendered to a live donor who's recipient is Medicare Entitled. Thewholebill for these services should have been billed to the transplantcenter;none of it should have been billed to the Donor's insurance. The " fix " would be to ask all who have balance billed you to send you the wholebilland you pay the bill and require that they refund any money theyreceivedfor the care. You will want to negotiate as good a set of paymentlevels aspossible. As an industry, we need to do a better job of educating the live donorstocall the transplant center first and let the transplant centercoordinatetheir care. Hope this helps,Thanks,Bill out of state donor complicationsbills Hi All, I am receiving bills for an out of state donor who had complications(PE) post donation after flying home. Most bills have billed hisinsurance and are now billing our program the remaining amount. Must Ihave the complications billed to the recipients insurance? Appreciate your help.

[Guest guest]

,

Are the professional fees billed to the recipient's Medicare when

secondary to a group healthplan? Would a denial be required from either

the recipients healthplan or the donor's?

Appreciate your help.

>>> Cap7002@... 2/15/2006 3:47:25 PM >>>

With my understanding, the TC gets billed to the transplant center and

the profees gets billed directly to recipient's Medicare part B

coverage.

Please correct me if I'm wrong.

Thanks-

anne Buccheri wrote:

>HI Bill,

>

>We haven't had a post donor complication in quite awhile, so I am a

bit

>confused. Are you defining technical services as the hospital bill

and

>physician professional charges? Sorry for all these questions!

>

>Appreciate your help.

>

>

>

>

>>>>Vaughan@... 2/8/2006 2:06:43 PM >>>

>>>>

>>>>

>Hi All,

>The transplant center is financially responsible for all technical

>services

>rendered to a live donor who's recipient is Medicare Entitled. The

>whole

>bill for these services should have been billed to the transplant

>center;

>none of it should have been billed to the Donor's insurance. The

> " fix "

>would be to ask all who have balance billed you to send you the whole

>bill

>and you pay the bill and require that they refund any money they

>received

>for the care. You will want to negotiate as good a set of payment

>levels as

>possible.

>

>As an industry, we need to do a better job of educating the live

donors

>to

>call the transplant center first and let the transplant center

>coordinate

>their care.

>

>Hope this helps,

>Thanks,

>Bill

>

> out of state donor complications

>bills

>

>Hi All,

>

>I am receiving bills for an out of state donor who had complications

>(PE) post donation after flying home. Most bills have billed his

>insurance and are now billing our program the remaining amount. Must

I

>have the complications billed to the recipients insurance?

>

>Appreciate your help.

>

>

>

>

>

>

>

>

>

[Guest guest]

Hi All,

Basic process:

Live Donor Work Up - All professional and technical

services (local or long distance) are the responsibility of the Transplant Center and are to be “paid”

by the KACC. There is no provision in Regulations for the Live Donor’s Insurance

to be billed if the Recipient is Medicare ENTITLED.

Live Donor Donation – Inpatient

Hospital services for the donation are

the responsibility of the Transplant

Center. Professional

Fees are billed to the Recipients primary payer. There is no provision in Regulations

for the Live Donor’s Insurance to be billed if the Recipient is Medicare

ENTITLED.

Live Donor Complications – In and/or Outpatient Hospital

services for donor complications (Local or Long Distance) are the

responsibility of the Transplant

Center. Processional

fees are billed to the Recipients primary payer. There is no provision in Regulations

for the Live Donor’s Insurance to be billed if the Recipient is Medicare

ENTITLED.

Hope this helps.

Thanks,

Bill

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Sioson

Sent: Wednesday, February 15, 2006

3:47 PM

To: TxFinancialCoordinators

Subject: Re:

out of state donor complications bills

With my understanding, the TC gets billed to the

transplant center and the profees gets billed directly to recipient's Medicare

part B coverage.

Please correct me if I'm wrong.

Thanks-

anne Buccheri wrote:

HI Bill, We haven't had a post donor complication in quite awhile, so I am a bitconfused. Are you defining technical services as the hospital bill andphysician professional charges? Sorry for all these questions! Appreciate your help.

Vaughan@... 2/8/2006 2:06:43 PM >>>

Hi All,The transplant center is financially responsible for all technicalservicesrendered to a live donor who's recipient is Medicare Entitled. Thewholebill for these services should have been billed to the transplantcenter;none of it should have been billed to the Donor's insurance. The " fix " would be to ask all who have balance billed you to send you the wholebilland you pay the bill and require that they refund any money theyreceivedfor the care. You will want to negotiate as good a set of paymentlevels aspossible. As an industry, we need to do a better job of educating the live donorstocall the transplant center first and let the transplant centercoordinatetheir care. Hope this helps,Thanks,Bill out of state donor complicationsbills Hi All, I am receiving bills for an out of state donor who had complications(PE) post donation after flying home. Most bills have billed hisinsurance and are now billing our program the remaining amount. Must Ihave the complications billed to the recipients insurance? Appreciate your help.